Abstract
We recently encountered a case with migration of an intrauterine device (IUD) into the abdominal wall. The patient was a 22-year-old woman from Pakistan, who had lived in Japan since she was 15 years of age. She admitted to a history of suffering from several episodes of left lower abdominal pain during the previous five years. She also gave a history of having had bladder inflammation infection? twice, which was cured by medication on both occasions. She visited our hospital in July 2005, when her symptoms aggravated. Examination revealed tenderness in the area of the pain, and a foreign body could be palpated beneath the abdominal wall, even though no operation scar was noted. A plain x-ray of the abdomen revealed that the object was t-shaped and partially made of metal. The operation for removal of the foreign body was performed in August. The object was located in the abdominal wall, and the bladder was found to be adherent to the abdominal wall in this region. Although we could not confirm any previous record of IUD insertion, from its appearance, the foreign body was determined to be an IUD. This is a case of IUD migration to the abdominal wall.